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Still Have Juverderm After 3 Years & 4 Treatments W/ Hylauronidase, Why?

A dermotologist overfilled one side of my nasolabial fold & also the corners of my mouth. I have waited 3 years for the Juvederm to dissolve and finally have recently sought treatment. Both areas look much better after 3 treatments with hylauronidase at $300 a pop. However, it is still not totally dissolved especially on one side of my mouth. Why isn't this stuff gone? Will it ever go away? This stuff is NOT all its cracked up to be!!! What should I do? How long do I have to wait?!

Doctor Answers (3)

You need to check your pre-treatment photos

+1

You should get a copy of your treatment records.

Were you actually give hyaluronidase? What dose?

If you really had a reasonable dose of hyaluronidase [say, 15-75 units] on each occasion, and if the filler in the area you are concerned about really was Juvéderm [and not something like Radiesse, which does not respond to hyaluronidase] then I would expect the excess fullness to have resolve TO THE EXTENT THAT IT WAS JUVEDERM.

If you don't have proper pre-treatment baseline photos, then it will be impossible to sort out the issue of whether or not the excess fullness being treated with hyaluronidase was present before you were treated with Juvederm, in which case it would not be expected to respond to hyaluronidase.

LESSON: make sure that whoever is taking care of you obtains high quality, standardized pre-treatment baseline photos, to help with monitoring your response to therapy and to assist in the evaluation of any problems if they arise.

Kevin C. Smith MD FRCPC Niagara Falls ON


Niagara Falls Dermatologic Surgeon
4.0 out of 5 stars 2 reviews

Juvederm present after 3 years and Hylaronidase injections

+1

It is very unlikely that you were injected Juvederm an HA that tends to last at most a year in the nasolabial folds. Even less likely to remain after treatments with Hylaronidase injections. I would ask to see the records of what was injected at your doctors office.

 

Good luck

Tal T. Roudner, MD, FACS
Coral Gables Plastic Surgeon
5.0 out of 5 stars 80 reviews

3 years post juvederm treatment

+1

It is highly unusual for hyaluronic acid fillers to last more than a year in a given area.  If the product was a hyarluronic acid like Juvederm, then the hyaluronidase would have dissolved it.  Are you sure it was not something else?

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 16 reviews

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.